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The Great Russian Remedy for Wast^ 
iag. Debilitating and Nervous 


Manuib«ture(l by 

^. MYERS, A. M. 

Address P. O. Box 1436, or Residence and ractory, 825 Oapp 
Street, between 23d and 24tb Streets. 

Spauldixg & Barto, Stbam Book and Job PRiimHs, 

K o xj m: I 8 8. 

Experiments with Koumiss in the Hospitals of Paris. 

Copied from the "Westeni Lancet" ot August, 1875. 
TranHlated ft>om tlie Frenoli. 


It has been long since noticed that certain tribes 
Russia were completely exempt from debilitating diseases; that 
is to say, diseases which exhaust the strength and induce emacia- 
tion, as phthisis pulmonalis, chronic bronci.itis, chlorosis, 
anemia, etc. Tliia fortunate immunity attracted the attention of 
physicians, already awakened by the popular reports, which 
attributed to the daily use of Koumiss, the excellent health of 
these people, notwithstanding the detestable climatic and hygienic 
condition in which they lived. 

Scientific research' has fully confirmed the favorable influ- 
ence of this beverage on their health, and chemical analysis 
has given the explanation of this influence. 

Since then the use of Koumiss has rapidly spread in all Russia, 
ai;d it has been ascertained that, wherever its use has become 
general, phthisis, or consumption, became more and mor^ rare, 
it is fur this reason that, in Russia, Koumiss is considered a 
specific for this disease. Thanks to the recent research and 
esperiments of French medicine, its action being well studied and 
its therapeutic value being well established, on true and certain 
data, the limits of its application became more extended, and. 
to-day it is indicated as the most powerful reconstituant in 
all debilitating diseases. 

The first scientific description of Koumisa and of its applica- 
tion to medicine, goes back nearly a century, to 1788. It is due 
to John Grieve (account of a methodrof making a wine called by 

tlie Tartars KoumisB, with obserrations on its use in medicine;) 
who in hiB position as physician in the Rusaian army, had heen 
able to study on the spot the remarkable action of this medicine. 

Since this epoch aeveral works on Kouroisa have been pub- 
lished. In 1843, Dr. Maydell, Medical Inspector of the govern- 
ment of Orloff, published a report of the therapeutic vinues of 
Koumiss. Twenty years later tha work of Dr. J. Ucke on the 
climate and diseases of the city of Samara (18(53), made the re- 
constituting properties of this agent conspicuous, attributing to 
it a specific power on the diseases of the respiratory organs. Dr. 
Chomenkoff attributed to it the same quality, with a conviction 
deeper yet, having had occasion to experiment on himself, in a 
chronic disease of the lungs, of which he was happy enough 
from its influence to recover. Dr. L, Spengler had, a few years 
previously, laid the outlines of a very interesting study on the 
, cure by Koumiss, in the Journal ds Balneologe. Herman Beigel, 
physician of the Metropolitan Free Hospital in London, speaks 
also of Koumiss, in his work written in the same year oa the 

It is to Dr. Schnepp that the credit is due for having Koumiss 
known in France, (Paris, 1865.) 

The following year, Dr. Karell, Physician Ordinary to the 
Emperor of Russia, full of enthusiasm for this medicine, wrote 
in a very interesting article: "I have seen marve]ou.s effects of 
it, and we owe to it some truly astonishing cures. I remember 
having seen two cases of phthisis pulmonalis in that last degree 
when hardly a few weeks of existence are granted to the patients. 
Well, after treatment with Koumiss, these patients had recovered 
Buoh excellent health that their famihes were astonished to find 
them enjoying better health than they had ever seen them 

Professor Foussagrives, in his remarkable work {TherapeiiHque 
dft la Phthiiis Pulmonaire, 1866, pages 123-129,) gives exact de- 
tails on the manner of using Koumiss, and regrets that this 
medicine, of which the reputation increases every day in Russia, 
but as yet so little known in France. "There is no means," 
says he, "which repairs as well the strength and restores as 
rapidly the former emhonpoirU." 





NotwithBtanding the rich literature of Koumiss, of which we 
have been able to give but a small sketch, in spite of its unei- 
oeptionable proofs of its therapeutic value, and the earnest 
patronage of the most celebrated men, KoumisB was known in 
France but theoretically, and its employment in Western Europe 
waa impossible on account of the difficulty of communication 
and of the ignorance of its mode of preptu'ation, for the migra- 
tory tribes of Eastern Bussia surrounded its manufacture with 
great mystery. 

The true importation and iotioduction of real Koumiss dates 
back but a year {written in 1872); it is due to the director of the 
establishment of Koumiss (Edwards), who, after a stay of more 
than tea years among the migratory tribes, who make a daily use 
of Koumiss, after having ascertained on the spot the beneficent 
effects of their beverage, and having succeeded in thoroughly 
understanding its manufacture, has founded his establishment. 
The product of hia factory is identical to the Koumiss of the 
Shirghizes and Bashkires, and under the denomination of Kou- 
miss-Edwards, it has shown what it could do; for it is thia 
Koumiss which, during a whole year, has been experimented 
with, and employed in all the hospitals of Paris, and in many 
hospitals in the provinces. It is the only Koumiss of which the 
good results have been recorded in the numerous accounts pub- 
lished in all the medical papers, and which has become an agent 
in French therapeutics, under the auspices of our moat eminent 

The use of Koumiss is very old; its name is taken from the 
people of Koumanes, whose origin goes back to the earliest 
antiquity. This people migrating to the region of the Caspian 
and Black seas, had definitely established themselves on the 
banks of a river called Kouma, the name of which they bave re- 
tained to this day. The history of this people ends with the 
invasion of the Tartars. Conquered in 1215 by Tossukhan, many 
of their customs passed into the habits of the Tartars, among 
others the use of Koumiss. 

Koumiss is not only in use among the people we have just 

mentioned, but also among' other migratory tribes of Asia, eren 
AB far as the extreme north. All these tribes mate Koumiss from 
milk of different animals, hut that most used is made from mare's 
milk, cow'a mdk, and the milk of ewes. They make several 
Mnds of Koumiss, the difference consisting in the more or less 
degree of alcoholic fermentation of the milk. 

Koumiss is looked upon by these people as a sacred beverage, 
and is largely employed in their religious ceremonies. They 
know how to utilize its nutritive properties, and era.ploy it to 
fatten young girls whom they desire to prepare for marriage, for 
with them, as among all Eastern people, esceBsive embonpinnt 
(robustness) is an indispensable condition of female beauty. 

Koumiss is not a pharmaceutical preparation proper, but a 
natural transformation of milk by lacto- alcoholic fermentation. 
Koumiss is of milk what wine is of grapes, what cider is of apples; 
that is to say, that the transformation of milk into Koumiss is 
based on the same chemical laws as the transformation of grapes 
into wine, and of apples into cider, by alcoholic fermentation. 

■ Besides its Latin denomination, vinum laciis, indicates very well 
its nature; and it is while considering its source and its physical 
properties that one of our eminent physicians has so wittily 
named it "Milk Champagne. " 

Koumiss is a white lactescent hquid, with a characteristic odor 
resembling that of whey, with a lightly assidulous and biting 
taste, savoring somewhat of buttermilk. It leaves a fresh and 

■ agreeable after-taste, is more effervescent than champagne, and 
when poured out becomes covered with an abundant foam, while 
as snow, overreaching the glass. This foam is composed in a 
great part of the fatty and nutritive principles of the milk raised 
by the carbonic acid. Left to settle, uncovered, Koumiss divides 
into three distinct layers; the inferior layer is caseous; the mid- 
dle layer is composed of serum, in great quantity and of green- 
ish color, semi-transparent, and on the top floats a whitish layer 

I of fatty substances. 


(Average of twelve Analyses.) 

1st Class. No. 1. No. 2. 

Water 888.010 886.363 

Carbonic Add 6.603 13 982 

Chloride of Potasaium 1,435 1.435 

Chloride of Sodium .289 .289 

Sulphate of Soda .067 .067 

Phosphate of Soda .410 .410 

Phosphate of Lime of Bones.... 2.670 2.670 

Phosphate of Magnesia .601 .601 

Phosphate of Iron : .062 .062 

2d Class. 

Lactate of Soda .661 .661 

Lactate of Lime .225 .225 

Lactate of Urea .006 .006 

Lactose 38 952 23.065 

Alcohol 22.530 30.310 

Lactic Acid 7.021 8.872 

Succinic Acid .273 .368 

Propionic Acid .015 .022 

Glycerine I.i27 1.909 

Fatty bodies 8.517 8.501 

3d Class, 

Casein and Albumen 18.310 18.290 

Lacto-protein 1.916 1.892 

Total 1,000.000 1,000.000 

The examination of this analysis, presenting the elements of 
KoumisB, will suf&ce to esplain the beneficial action of this 
medicine. We find in it alcohol, lactic acid, carbonic acid; the 
moat important salts of the organism, as the phosphates of lima, 
soda, iron, etc., naturally united, and which, thanks to the stale of 
fermentation of Koumiss, are immediately assimulaled and absorbed 
by the organism. 



It is only after a year of esperiments in all the hospitals of 
Paris, carried ou by eminent masters of medical science and 
crowned by full success, that the administration of Koumiss offers 
its product as the most powerful medication against consumptive 
diseases. It does so only after having deserved and obtained 
the high approbation and contidetice of the medical world, as the 
sole criterion competent to judge the real value of a new thera- 
peutic agent and to appreciate its importance. To resume all 
that is said in scientific works and in medical journals, the good 
effects of Koumiss are explained by — 

Ist, The action of a large quantity of salts, identical to salts 
of the blood serum, introduced into the organism. 
2d. The action of albuminoid matters on the organic tissues, 
3d. The action — eminen/ly digestive — of lactic acid. 
1th. The stimulating action of alcohol and its induence on 
the adipose tissues generally, 

5tfa. The slimidating properties of carbonic acid on the capil- 
laries, and its sedative action on the coat of the stomach, 

6th. The state of permanent fermentaiion, which is to be con- 
sidered as one of the principal causes of its direct aad rapid action. 
—Journal of Therapeutique, 1874, Nos. 14, 16, 17, 18. 

All these elements — plastic, heat generating, strength gene- 
rating, anti-wasting — being all naturally united in it, explain 
the powerfully reconstituent action of Eoumias; for it holds a 
series of substances all of which are capable of exerting a special 
effect on the organism, and its action is to constitute the result- 
ant of each of these isolated effects. — Gazette Hebdomadaire de 
Medecine. etc., 1874, Nos. 36 and 38. 

Therefore, Koumias represents an alimentary medication of 
which the rebuilding and neuroathenic power has no equivalent 
in modern therapeutics, and its employment is very precious and 
of an incontestable utility every time an acute or chronic affec- 
tion has impoverished the economy and debilitated the organ- 
ism. It is employed, therefore, in phthisis pulmonalis, in chronic 
bronchitis, and all diseases of the thorax in general, in chronic 
gastritis dyspepsia, in anemia, chlorosis, in scrofula, in leucor- 
rhcea, which, in a case cited by Dr. Schnepp, recovered under the 


sole DBS of a treatment of three weeka with Koumigs; in al 
nurin and diabetes. 

The progress of improvement in patients suffering from 
tions of the respiratory organs increase in the following ordwi 

let. Sleep returns. 

2A. Fever becomes less, and disappears little by little. 

8d. Cough diminishes, the nature of the aputa ehaagea after 
a few dftya of treatment, and from purulent becomes muco-pui- 
ulent, then mucous. 

4th. The appetite increases remarkablj; vomiting, if there 
were dyspeptic cumpUcations, stop or diminish. Soon the im- 
provement ia manifested in a more striking manner, strength Te- 
tania, and the weight of the body increases. — Journal da Thera- 

This inorease of weight, which is the steady indication of the 
wholesome influence of Koumiss with patients suffering with de- 
bilitating affections, even in a very advanced stage of the dis- 
ease, is easy to verify by periodical weighing. From the differ- 
ent statistics published, in 100 patients attacked with phthisis 
pulmonaiis and put under the treatment of Koumiss, during six 
weeks in the Paris hospitals, the average increase of weight ia 
four kilograms. Of this number some had increased eight kilo- 
grama, and others only 500 grams. 

When we consider that these statisticg are baaed mainly on 
observations gathered in the hospitals, where, in spite of all the 
solitude — in spite of all the care with which patients are sur- 
rounded—the hygienic conditions can never be compared to 
those enjoyed in the private dwelling; when we consider that 
most of these patients were in an advanced degree of phthisis, 
where all other treatment had already failed, and that under the 
influence of Koumiss emaciation was not only arrested, but more- 
over that all gained more or less in flesh, and that their general 
health improved perceptibly, it is impossible not to draw there- 
from the most encouraging conclusions for those patients who 
may enjoy good hygienic conditions, and in whom the lesionB 
are as yet little advanced. — Journal de Therapeutique. 

As may be noticed, the action of Koumiss is, before all, one of 
repair, and consequently in direct opposition with the waste that 
debilitating diseases, whatever be their nature, bring with them. 


It re-eBtabliahes strength, ftnd aasimilafcing functions, aa diges- 
tion, respiration, and, being rapidly absorbed by the organism, 
on account of the constatutiTe and nutritive nature of its ele- 
ments, it influences the increase of weight with an extraordinary 

In chlorosis, anemia, chloro -anemia, the apphcation of Kou- 
miss is unquestionably efficient. In Beveial cases where chaly- 
beate preparations could not be borne. Koumiss increased the 
quantity and quality of the red blood globules, even where the 
disease seemed incurable. We will cite a case of scrofulous 
ohloro-anemia in which the patient, carried on a stretcher into 
one of our principal hospitals, was iu such a state of exhaustion 
that the least movement occasioned palpitations and syncope; 
her eyes even could no more support light, her face was pale 
and wasted, her lips and eyelids discolored, she vomited all she 
took; in a, word, the gravity of her symptoms foreboded an ap- 
proaching death, But under the treatment of Koumiss this 
young girl was, at the end of ten days, already capable to help 
the sister in the distribution of food to the other patients, and 
three weeks afterwards she left the ward entirely cured, and hav- 
ing gained six kilograms. 

In albumin urla^it being understood that we speak here of al- 
buminuria without grave renal complications — Koumiss has 
given excellent results; the albumen disappears in a very short 
time, relatively. In dyspepsia, in chronic gastritis, where the 
food is badly borne and digested with diESculty, the digestive 
qualities of Koumiss, through carbonic acid and lactic acid, ren- 
der it unquestionably useful. 

Koumiss has been and is employed with success in diabetes, 
accompanied with emaciation. Several observations published 
by distinguished physicians notice its good efl'ects. 

The eminently separative, nutritive and stimulating qualities 
of Koumiss render it very valuable for nursing females. We 
have long known the great influence of fermented beverages on 
the mammary glands, the secretions of which they increase. 
Koumiss, as a fermented drink, is perhaps the only therapeutic 
agent of which the action is as direct and rapid, on account of 
the constitutive elements of its lactic origin. Shortly after the 
ingestion of Koumks, not only do the breasts swell and the milk 

become more abundant, bat ita qn&lity undergoes a favorabl 
modification through a greater quantity of nutritive principles 

It ia known that the attention of phyaiciana was attracted t 
Koumiss in the first place by the immunity of disease of the rsf 
piratory organs noticed among the wandering tribes, who naafc 
a daily use of this beverage. Therefore must we consider Koi: 
miss as a hygeinie drink, par excellence, possessing through i1 
reconstituting and separative quaHties, preservative virtue 
against consumptive diseases, whatever be their nature. 

If we consider that the patients upon whom the action of iKoii 
miss was called to counterbalance the debilitating action of th 
disease, have increased in fleah and regained their strengtll 
there ia no doubt that those in whom the disease has not yet «]fl 
clared itself, but who, through delicate health or hereditary pre 
disposition, offer a ready ground for the invasion thereof — tbei 
is no doubt, we say, that those making use of Koumiss until ful 
consolidation of their health, would surely prevent the affectioi 
by which they may be menaced. Starting from this principlfl 
its use in Russia becomes more and more popular. They resQi; 
to this, as powerful as it is harmless, on the first symptoms o 
emaciation or exhaustion. There even is an expression whicl 
designates under the term of " Koumiss coraplesion " the fre^ 
and rosy color, the white and transparent complexion of thosi 
vrho take much Koumiss. 


The therapeutic action of Koumiss, like that of all medicioef 
belonging to the class of reconstituents and neuroathenioa, ik^ 
direct proportion with the duration of treatment and the qvjKS 
tity administered to the patient. 

The minimum duration of treatment is six weeks. In du 
commencement it vrill be well to give the patient half a glassfa 
four times a day between meals. At the end of two or tlire< 
days, the dose may be increased to as much as a quart bottle 
taken in four times — two glaasfula in the morning, and two ii 
the afternoon. In increasing gradually the quantity, one is b 
keep the same proportion in the distribution of doses as indi 
cated above. 


We do not think it advisable to give Koumiss fasting, for gen- 
erally cold and gaseous beverages are not -well borne by most 
persons accustomed to take a warm meal after rising. Nor is 
Koumiss to be given immediately before or after meals, for it 
presents then the same i neon venie nee as milk. Koumiss is 
taken by many persona with pleasure; however, it may be that 
by its somewhat strange taste. Koumiss does not suit at first, es- 
pecially those who do not like milk, or who do not know the 
taste of whey or buttermilk. This impression is rapidly dissi- 
pated; but should it persist, especially with women, it is easily 
remedied by sweetening the Koumiss with a little aromatic syrup 
or powdered sugar and dividing the doses. — Western Lancet. 


Koumiss is not only used in Paris, in the hospitals and in the 
ordinary practice of the physicians, but is also used in London 
and nearly all the cities of Europe. There is also a Koumiss 
Cure in New York City, Washington, Philadelphia and Chicago, 
and many of the leading physicians of these cities are using it in 
their practice. 

It is used in all debilitating diseases, as well as convalescence 
from all of the fevers. It is found exceedingly beneficial in dys- 
pepsia and all dieeaties of the stomach. It is a very pleasant 
beverage, and imparts to the complexion of those using it a beau- 
tiful ruddy hue. It is exceedingly nutritious, and its benefit will 
soon be seen in the increased weight of, those using it. 

Koumiss has been introduced into the United States in the 
last few years, audits cures ai'e wonderful aud numerous. It 
-was fii-st introduced in Washington City by one of the most 
prominent physicians of Georgetown, who was afflicted with that 
dire disease, consumption. No remedy could be found to avail. 
He was given up to die by all his medical advisers. He hiraaeif 
had lost all hope. He heard of Koumiss and sent to New York 
for a case. On its arrival it did not seem to agree with his deli- 
cate stomach, but he persisted in its use. After using several 
bottles it was more agreeable, and before the dozen bottles were 
nsed he saw and felt a perceptible benefit. He continued its 
tue, and every day could realize that it was conquering the dis- 
P ease, and now he is continuing his practice and is capable of en- 
during as much duty and fatigue as any of the medical fraternity 

of the City of Washington. He attributes his restoration to the 
sole and sovereign remedy Eoumiss. 

Patients using Koumiss should commence with small doses; 
say use a pint bottle the first day, divided into four doses — one 
directly after rising in the morning, and then midway between 
each meal, and one before retiring at night. Then the quantity 
should be increased in a day or two to two bottles a day, observ- 
ing the same regular periods. In a few days more it should be 
increased to three bottles per day, and in about two weeks to 
four bottles, at regular intervals as before. The minimum dura- 
tion of treatment is about six weeks. 

It is more palatable when new, but for dyspeptics it is better 
to have considerable age. It should be kept in a cool place, as 
the light and heat both affect it. The older it gets the more al- 
cohol it contains, until all the sugar of the milk is converted into 
alcohol. The amount of alcohol in it is but very small, and la 
similar to that in bread when it is fermenting before baking. 
The bottle is opened by inserting a champagne faucet through 
the cork without loosening the cork fastenings. The Koumiss 
should be thoroughly agitated before the valve of the faucet is 
turned, and then elevating the bottom of the bottle it will fill the 
glass with foam. This should be drank at once, as the ga& ia 
very agreeable to the stomach as well as beneficial. Leave the 
faucet in the cork until the bottle is emptied. 

It is also recommended in all affections of the heart. It im- 
parts an agreeable sensation to the stomach immediately after 
using it. A pleasant glow is felt and a gentle perspiration fol- 
lows. The dyspeptic's sensations are all gloomy and his feelings 
disagreeable. Koumiss immediately seta the organism of the 
stomach at work. The lactic acid is the natural element for its 
absorption, the alcohol stimulates digestion, and the rich sub- 
stances afford agreeable food, thus imparting strength and an 
agreeable feeling follows. 

For infants or children, to make it more palatable sugar and 
water'can be used, or any of the syrupa, such as strawberryj 
vanilla, lemon, etc. With these syrups it ia equal to soda and 
infinitely better, as it contains no deleterious ingredients. 

Price — Pint bottles, $3.00 per dozen. 
Quart bottles, 6.00 per dozen. 



Since printing the foregoing Treatiae on Koumiss— which oc- 
curred some two months after I had introduced Koumiss into the 
City and County Hospital, and to a few patients of several of the 
leading physicians of San Frunciaco — 1 have distributed the 
Treatise among the other physicians, many of whom joyfully 
learned that the article could be had, aome of whom had used it 
in their practice in the East and others in Europe. Some had 
offered any price for it, but were not able to get a good article; 
but all are pleased with the good quality and equally good eflects 
of the Koumiss I manufacture. There are now between fifty and 
one hundred of the leading physicians of the City of San Fran- 
ciaco using and presciibing Koumiss to their patients, and rec- 
ommend it earnestly to the profession elsewhere. 

Koumisa has been used now in this city four months, and it 
has already accomplished wonderful results. Some who were 
given up to die are now hearty and well; others have recoyered 
from great debility, and a few have been found to whom it haa 
not been beneficial. The French, German and Busaian phy- 
eiciana ore very partial to its use, having noted its beneficial re- 
flulta in Europe, It has been used with great profit in the fol- 
lowing diseases here in this city; Phthisis, or consumption; 
bronchitis; dyspepsia; anemia, or poisoning of the blood; di- 
abetes; albumennria; chlorosis; morning sickness; for nour- 
ishment to ladies previous and after confinement. Young ladies 
in delicate health have in a few weeks been restored to blooming 
health; some young children, teething and suffering from sum- 
mer complaint, fliis and dian-ho3a, have also been relieved. It 
has been used advantageously for children that do not nurse, 
and also for mothers nursing tiieir children. Many have used it 
in the last stages of consumption, when it was the only food the 
patient couid take without distress, and it haa afforded them 
nourishment and relief. A number of the doctors are using it 
in their own families, and from its beneficial effects noticed they 
are pre.'^cribing it largely. There are also several physicians 
using it themselves, and from the advantages they derive, cor- 
dially recommend it to others. 

I had not intended to publish any certificates, and will not at 
this time — although many of my patients have authorized me to 
refer to them, as they are walking advertisements of its benefits. 
I have not advertised in any paper as yet, and what reputation 
Koumiss has in San Francisco and other cities and towns is en- 
tirely through the influence of the physicians recommending 
it, and the patients who have been benefited by it. 

I send this Appendix to the physicians of other towns and 
cities of this coast, assuring them that if they will write to any of' 
their medical friends in this city, they will hear nothing but goodi; 
results from the use of Koumiss. I add an extract from a work 
on Koumiss, published in London, by Victor Jagielski, M. D., of 
Berlin, 1870. This has been kindly loaned me by Dr. Bidlack. 
I hereby acknowledge the kindness of many of the leading phy- 
sicians of Ban Francisco for the many favors shown me and for 
a cordial reception before their medical associations. 


San Fbancibco, Cal., February 15, 1878. 


Seeland (*' Medicine der Gegenwart," Januar, 18G2) compares 
the efiect of Koumiss upon the blood to that which is produced 
by transfusion. In regard to the blood distribution, it seems to 
be a not improbable supposition that there are factors in Koumiss 
which produce an increased blood circulation. 

B. Profuse discharges after confinements, lactation, surgical 
tjperations, diarrhoea, blenorrhagias, etc. 

(7. Disorders of digestion, assimilation and sanguification. 

D. Debility and exhaustion from long acute diseases, over- 
exertion, fatigue, protracted use of mercury, etc. 

2d. Chlorosis. 

3d. Scurvy. 

4:th. Hysteria and hypochondriasis in consequence, or as 
symptoms of anaemia. 

5th. In the adynamic stages of acute diseases, typhus, pneu- 
monia, senilis, etc. 

In all these morbid states Koumiss can be employed with the 
most brilliant success, and every one may persuade himself by 
his own judgment that the greater the decay of strength has 

teen, the more alriking are the effects of Koumisa treatmeiit. 
Now let us come to auother group of Jiaeasea dependent upnn 
an increased mucous seeretion, lu tliis kiud of disease the effect 
of Koumisa, says Dr. Stablberg, is sure and reliable, that up to 
the present time not one single author, phyaician or inquirei- has 
been found who would have the slightest doubt about it; and it 
18 more than probable that it is this effect upon the mucous 
membranes that its enormoua reputation as an antiphthiaicum ia 
eapeciallj due. The diminution of mucous secretion ia partly 
attributable to the antagonistic function of skin and kidneya, and 
' partly to the lactic acid. This effect becomea apparent in ohronks 
broHchilis almoat during the Jirst day of the uae of XoumiHs; 
the expectoration diminishes and becomes more ffuid, at the 
same time the cough improves, and eimaltaneoualy, the pliysieal 
atrengtli being restored by the improyed nutrition, and sleep, the 
diaeasfl gradually ceaaes altogether — slowly, but surely. We 
obsei-ve the same effect in intestinal catarrh or diarrhcea. Nau- 
sea aud sickness, with the dian-hcoa, disappear almoat with the 
I first glass or bottle of old Koumiaa. The greateat number of 
b observations are stated in chronic bronchitis or winter cough, 
P and it is not more than six years since it began to be employed 
' with an equal success in gaatiic and intestinal catarrhs. 


First of all, a change in the color of the face becomes evident 
— the paleness of the skin gives place to a pink comijlesion — and 
this is BO constant in the warm season that the people of Moscow 
gave it spontaneously the name of "Koumiss complexion." The 
blood becomes greatly changed; it becomes thicker, contains 
more fibrine, more haemoglobin, and less serum than before the 
treatment. The expectoration diminishes and becomes more 
fluid; at the same time the cough improves, and, the physical 
strength being restored by the improved nutrition and sleep, the 
disease gradually ceases, slowly but surely. 

It is impossible to state what quantity of Koumiss it may be 
advisable to take at first, as the greater or less weakness of the 
patient, his constitution and the nature of his disease must be 
aken into account. The daily dose at first ought not to exceed 
ine bottle, taken a glass at a time at more or less distant inter- 
vals. In a few days two or three extra glasses should be taken, 
A greater quantity should be taken in the forenoon than in the 
afternoon, and the time from twelve to four ought to be devoted 
exclusively to dinner and sleep. If dinner is required it may 
consist of beef-tea, fish and meat, excepting pork and goose. 
If a tendency to constipation exists, fruits may be taken, and 
a the morning a glass of fresh milk, or a bottle of soda-water 
the night before. Should a tendency to diarrhcea exist, milk, 

and vegetables should be scropalously avoided, and an older 
lort of KoiHnisa taken. At dinner-time a plass of wine (claret 
excepted) and some sort of meat may be taken. Tea, coff'ee and 
■alcoholic stimulants must be avoided. Cold bathing ia aJso very 
dangerous, but warm batha once in a week are useful. Duriuf:; 
the treatment the patient should keep himself warm, and protect 
himself from the weather, cold winda, exposure to draughta, wet 
feet, etc. In bad weather he should remain at home and take 
.esercise in larpe well-ventilated rooms; but in good fine weather, 
open air should he breathed as much as is possible, dullness in 
;the stomach, or the necessity of taking Koumiss mouthful by 

eouthful with a certain constioint, indicates that it ia better to 
op drinking it for the time being. Siokuess and painless 
■diarrhaa during the first ten days occur with seme persona, but 
I'soon cease without any other treatment, Sicknesa after Koumiaa 
3nay be relieved by taking some brown bread with ^alt after eacli 
glaaa. Motion in open air after eoofa glass is advisable, hut a 
patient should not be required to move when he desires rest. 
Patients confined to their beds may take about sis tumblers full 
idaily. In order to obtain the best results from the treatment it 
ia necessarj- for the patient to obey the following rules: 

1. Every serious fatiguing occupation, all exciting scenes and 
violent emotions must be avoided, 

2. The patient must live eiilirety upon Koumin^, or, iE a desire 
^or solid food ia felt, easily digested meat ahould be given, 

' 3. The air should he pnre, and in srimmer the patient should 

te in the open air as miich as is possible. 

*■ 4. A desire for sleep, no matter how often, should be yielded 

rto at once, and nothing should interfere with hja sleeping as long 

ta» lie likes, 

' 6, Whenever Koumiss is used, the bottle must be well shaken 

■previously, so that its component pai-ta may mix welt together. 
Placed in a cool cellar it will remain good for three or four 

^nonths, iJthough its taste becomea stronger and sourer. 
I Summing up the effects of Soumias, we find i|i this I'emedy 
Mhe following properties: 

1. The effect of milk sugar in inereasmg the weight of the 

2. The effect of lactic acid in diminishing the temperature 
frequency of the pulse and muoua secretions. 

- 3. The effect of casein in restoring the organic tissues. 

i. The effect of carbonic acid in diminishing the freqnency 
'•oi the heart's contractions, increasing the energy of the heart's 
"impulsea in producing diuresis and in calming gastric irritations. 

"Where in all the world," says Dr. With, " is offered to the 
/human race a better dietetic, and, in consequence of its regulat- 
,%ig power over tissue change, a more healing remedyj than 



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lnS57 A treatise 
K8T7 koumiss